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General NPI Number Information
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NPI Number | 1154186369
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Entity Type | Individual
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Provider Name | TANETTA HIGHTOWER CARTER LPC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 5835 CAMPBELLTON RD SW
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City | ATLANTA
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State | GA
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Zip | 30331-8013
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Country | US
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Telephone | 404-919-6564
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Fax |
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Provider Business Mailing Address
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Address Line | 2260 FAIRBURN RD SW UNIT 310874
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City | ATLANTA
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State | GA
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Zip | 31131-2609
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Country | US
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Telephone | 404-919-6564
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC014444
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License Number State | GA
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